Organization
NEW TAMPA PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMAL PETER FAKHRE MD (MANAGER)
(904) 535-7030
Entity
Organization
Contact information
Practice address
2541 WINDGUARD CIR, WESLEY CHAPEL, FL 33544
(813) 600-3400
Mailing address
2541 WINDGUARD CIRCLE, WESLEY CHAPEL, FL 33544
(813) 600-3400
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME91093
FL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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